Applewood Our House 4 LLC

A revisit survey was completed on 4/16/26 for all previous deficiencies cited on 12/22/25. The facility is in compliance with all deficiencies that were cited. Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A licensure complaint, prompted by #CO41161, #CO40878, and #CO40045, was completed on 12/22/25. Deficiencies were cited. Based on observation, interview, and record review, the residence failed to ensure the administrator was responsible for managing the overall day-to-day operations of the assisted living residence as described in the resident agreement, affecting 16 current residents.Findings include: 1. ReferenceChapter VII regulations governing assisted living residences, part 2.2, defines "Administrator" as a person who is responsible for the overall operation, daily administration, management and maintenance of the assisted living residence. The term "administrator" is synonymous with "operator" as that term is used in Title 25, Article 27. 2. Record Review On 12/17/25, an emergency binder provided by the residence listed the former administrator as the administrator of record. On 12/17/25 at 8:00 a.m., .. Based on observations, interviews, and record review, the residence failed to provide to the Department upon request, access to individual client records, reports, and other records as determined by the Department, affecting 16 current residents.Findings include:1. Record ReviewOn 12/17/25 at 8:59 a.m., the following were requested from the residence:-Incident reports from June to August 2025 and current-Staff schedule for March and September 2025 to current- Policies for reporting abuse, destruction of medications, medication storage, and lift assistance.- Administrator training for the current administrator - cardiopulmonary resuscitation (CPR) cards for current staff- medication destruction records- any allegations of abuse in 2025On 12/17/25 at 9:24 a.m., the activities director fail.. Based on record review and interview, the residence failed to provide an enhanced care plan that included approaches for staff that addressed residents with behavioral expressions and provided interventions to protect the resident and other residents with whom they have contact, for one of 16 sample residents (#1) who lived in a secured environment. Resident #1 was admitted to the residence on 4/8/25. A progress note dated 11/19/25, read in part that Resident #1 became upset with the residents singing Christmas songs. Resident #1 got into another resident' s personal space, messing with their wheelchair, calling them names, and being inappropriate. Staff asked Resident #1 multiple times to take a few steps back and to be mindful and respectful of what he was saying and doing. Staff attempted to distract .. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary.The residence was advised it must review and maintain the following processes in accordance with existing program regulations found at 6 CCR 1011-1, Chapter 7.7.10 All staff members shall wear name tags or other identification that is visible to residents and visitors. 14.29 All prescribed and PRN medications shall be listed and recorded on a medication administration record (MAR) which contains the name and date of birth of the resident, the resident' s room location, any known allergies, and the name and telephone number of the resident' s authorized practitioner. The medication administration record shall reflect the name, strength, dosage, and mode of administration of each medication, the ..